TIER 4 (G)

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TIeR 4 (GeneRAl) APPlICATIOn FORM D10. Has the student ever stayed in the United Kingdom beyond the end of his/her period of leave (i)? Yes - go to question D11 No - go to question D12 D11. Give the reason(s) why the student has stayed beyond the end of his/her period of leave and the dates of the overstay: D12. Has the student ever worked in the United Kingdom without immigration permission to do so (that is, contrary to his/her conditions of stay)? Yes - go to question D13 No - go to question D14 D13. Give the reason(s) why the student worked in the United Kingdom without immigration permission to do so and the dates this work was undertaken: D14. Has the student ever illegally entered the United Kingdom? Yes - go to question D15 No - go to question D16 D15. Give the details and dates when this happened: D16. Has the student ever used deception when seeking leave to enter or leave to remain (i)? Yes - go to question D17 No - go to question D18 D17. Give the details and dates when this happened: Tier 4 (G) Application Form (version 04/12) - page 12
TIeR 4 (GeneRAl) APPlICATIOn FORM D18. Has the student ever been removed or deported from the United Kingdom? Yes - go to question D19 No - go to question D20 D19. Give the details and dates when this happened: D20. Does the student currently have any other applications with us (on which he/she is awaiting a decision) OR an appeal with the Asylum and Immigration Tribunal (which is yet to be heard)? Yes - go to annex for part D -question AD9 if you have an outstanding application. -go to annex for part D –question AD12 if you have an outstanding appeal. No - go to part E e. Personal History (criminal convictions, war crimes, etc.) The student must complete section e. If it is not completed the application will be invalid and will be returned to the student. Please answer every question in this section (i). It is an offence under Section 26(1) (c) of the Immigration Act 1971 to make a statement or representation which is known to be false or is not believed to be true. Information given will be checked with other agencies. e1. Has the student had any criminal convictions in the United Kingdom or any other country (including traffic offences) or any civil judgments made against them (i)? Yes - go to question E2 No - go to question E3 E2. If question E1 above has been answered “yes” please give details below for each criminal conviction and/or civil judgment, starting with the most recent one - but first see Note 1 about criminal convictions. If the student has received more than two convictions and / or civil judgments, please photocopy this page and enclose it with this form. note 1: Convictions spent under the Rehabilitation of Offenders Act 1974 need not be disclosed. More information about this Act is given towards the end of this section. Tier 4 (G) Application Form (version 04/12) - page 13
Page 1 and 2: APPLICATION FOR A GRANT OF LEAVE AN
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Page 7 and 8: B16. Full current address in the UK
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Page 15 and 16: TIeR 4 (GeneRAl) APPlICATIOn FORM Q
Page 17 and 18: F - BIOMeTRIC enROlMenT (i) TIeR 4
Page 19 and 20: J. Course Details TIeR 4 (GeneRAl)
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Page 23 and 24: l5. The student’s primary site of
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Page 27 and 28: SECTION N (a) - CONSENT TIeR 4 (Gen
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Page 39 and 40: Annex for part M TIeR 4 (GeneRAl) A
Page 41 and 42: AO8. Give the email address: TIeR 4
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TIER 4 (G)

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